NR511 EXAM
Mr. Johnson, age 69, has had Meniere disease for several years. He has some hearing loss but now
has persistent vertigo. What treatment might be instituted to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
4.Wearing an earplug in the ear that has the most hearing loss. - CORRECT ANSWER 3.
A vestibular neurectomy.
Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy. - CORRECT ANSWER 1. Balloon dilation of the LES
Which oral medication might be used to treat a client with chronic cholelithiasis who is a poor
candidate for surgery?
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer. - CORRECT ANSWER 1. Ursodiol (Actigall)
All of the following medications are used for the control of nausea and vomiting. Which medication
works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal
motility and increasing lower esophageal sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol). - CORRECT ANSWER 3.Antidopaminergic
and cholinergic agents, such as metoclopramide (Reglan).
,You auscultate Julie's abdomen and hear a peritoneal friction rub. Which condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome. - CORRECT ANSWER 4. IBS
Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding. - CORRECT ANSWER 1. Weight loss
The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants. - CORRECT ANSWER 1. Alcohol
Nausea is difficult to discern in a young child. What question might you ask to determine if a child
has nausea?
1."Are you sick to your tummy?"
2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?" - CORRECT ANSWER 2.
"Are you hungry?"
Zena just had a hemorrhoidectomy. You know she has not understood your teaching when she tells
you she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2.Drink at least 2000 mL of fluids per day.
3.Decrease her dietary fiber for 1 month.
,4.Take stool softeners as prescribed. - CORRECT ANSWER 3.Decrease her dietary fiber for 1 month.
Stacy, a nursing student, is to begin her series of hepatitis B vaccinations. You test her for a
serological marker, and the results show hepatitis B surface antibodies (HBsAb). You tell Stacy that
she:
1.Needs to begin the hepatitis B series as soon as possible.
2.Needs to be tested again because one reading is not indicative of immunity.
3.Is permanently immune to hepatitis B.
4.Has an acute hepatitis B infection. - CORRECT ANSWER 3. Is permanently immune to hepatitis B.
Margie, age 52, has an extremely stressful job and was just given a diagnosis of gastric ulcer. She
tells you she is sure it is going to be malignant. How do you respond?
1."Don't worry. Gastric ulcers are not cancerous."
2."About 95% of gastric ulcers are benign."
3."You have about a 50% chance of having gastric cancer from your ulcer."
4."Even if it is cancer, surgery is 100% successful." - CORRECT ANSWER 2."About 95% of gastric
ulcers are benign."
You are counseling Lillian, who is lactose intolerant, about foods to avoid. You know she
misunderstands the teaching when she tells you she can have:
1.Yogurt.
2.Foods containing whey.
3.Prehydrolyzed milk.
4.Oranges. - CORRECT ANSWER 2.Foods containing whey.
Susan, age 59, has no specific complaints when she comes in for her annual examination. She does,
however, have type 2 diabetes mellitus (DM), slight hypertension, dyslipidemia, and central obesity.
How would you diagnose her?
1.As a healthy adult with several problems.
2.As having a glycemic event.
3.As having metabolic syndrome.
4.As having multiple organ dysfunction - CORRECT ANSWER 3.
As having metabolic syndrome.
, Tom has just been diagnosed with celiac disease. Which of the following might you tell him?
1.There is a new pharmaceutical cure for celiac disease.
2.A strict gluten-free diet is the only treatment for celiac disease.
3.Your children will not be at a higher risk for developing this disease.
4.The presence of celiac disease is decreasing dramatically in the United States. - CORRECT
ANSWER 2.A strict gluten-free diet is the only treatment for celiac disease.
Simon, age 72, states that he is worried because he has a bowel movement only every third day. You
respond:1.
"You should have two to three stools per day."
2."You should defecate once a day."
3."You should have at least three stools per week."
4."There is no such thing as a 'normal' pattern of defecation." - CORRECT ANSWER 4.
"There is no such thing as a 'normal' pattern of defecation."
Matt, age 26, recently returned from a camping trip and has gastroenteritis. He says that he has
been eating only canned food. Which of the following pathogens do you suspect?
1.Campylobacter jejuni.
2.Clostridium botulinum.
3.Clostridium perfringens.
4.Staphylococcus. - CORRECT ANSWER 2.
Clostridium botulinum.
Timothy, age 68, complains of an abrupt change in his defecation pattern. You evaluate him for:
1.Constipation.
2.Colorectal cancer.
3.Irritable bowel syndrome.
4.Acute appendicitis. - CORRECT ANSWER 2.
Colorectal cancer.
Mr. Johnson, age 69, has had Meniere disease for several years. He has some hearing loss but now
has persistent vertigo. What treatment might be instituted to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
4.Wearing an earplug in the ear that has the most hearing loss. - CORRECT ANSWER 3.
A vestibular neurectomy.
Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy. - CORRECT ANSWER 1. Balloon dilation of the LES
Which oral medication might be used to treat a client with chronic cholelithiasis who is a poor
candidate for surgery?
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer. - CORRECT ANSWER 1. Ursodiol (Actigall)
All of the following medications are used for the control of nausea and vomiting. Which medication
works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal
motility and increasing lower esophageal sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol). - CORRECT ANSWER 3.Antidopaminergic
and cholinergic agents, such as metoclopramide (Reglan).
,You auscultate Julie's abdomen and hear a peritoneal friction rub. Which condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome. - CORRECT ANSWER 4. IBS
Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding. - CORRECT ANSWER 1. Weight loss
The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants. - CORRECT ANSWER 1. Alcohol
Nausea is difficult to discern in a young child. What question might you ask to determine if a child
has nausea?
1."Are you sick to your tummy?"
2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?" - CORRECT ANSWER 2.
"Are you hungry?"
Zena just had a hemorrhoidectomy. You know she has not understood your teaching when she tells
you she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2.Drink at least 2000 mL of fluids per day.
3.Decrease her dietary fiber for 1 month.
,4.Take stool softeners as prescribed. - CORRECT ANSWER 3.Decrease her dietary fiber for 1 month.
Stacy, a nursing student, is to begin her series of hepatitis B vaccinations. You test her for a
serological marker, and the results show hepatitis B surface antibodies (HBsAb). You tell Stacy that
she:
1.Needs to begin the hepatitis B series as soon as possible.
2.Needs to be tested again because one reading is not indicative of immunity.
3.Is permanently immune to hepatitis B.
4.Has an acute hepatitis B infection. - CORRECT ANSWER 3. Is permanently immune to hepatitis B.
Margie, age 52, has an extremely stressful job and was just given a diagnosis of gastric ulcer. She
tells you she is sure it is going to be malignant. How do you respond?
1."Don't worry. Gastric ulcers are not cancerous."
2."About 95% of gastric ulcers are benign."
3."You have about a 50% chance of having gastric cancer from your ulcer."
4."Even if it is cancer, surgery is 100% successful." - CORRECT ANSWER 2."About 95% of gastric
ulcers are benign."
You are counseling Lillian, who is lactose intolerant, about foods to avoid. You know she
misunderstands the teaching when she tells you she can have:
1.Yogurt.
2.Foods containing whey.
3.Prehydrolyzed milk.
4.Oranges. - CORRECT ANSWER 2.Foods containing whey.
Susan, age 59, has no specific complaints when she comes in for her annual examination. She does,
however, have type 2 diabetes mellitus (DM), slight hypertension, dyslipidemia, and central obesity.
How would you diagnose her?
1.As a healthy adult with several problems.
2.As having a glycemic event.
3.As having metabolic syndrome.
4.As having multiple organ dysfunction - CORRECT ANSWER 3.
As having metabolic syndrome.
, Tom has just been diagnosed with celiac disease. Which of the following might you tell him?
1.There is a new pharmaceutical cure for celiac disease.
2.A strict gluten-free diet is the only treatment for celiac disease.
3.Your children will not be at a higher risk for developing this disease.
4.The presence of celiac disease is decreasing dramatically in the United States. - CORRECT
ANSWER 2.A strict gluten-free diet is the only treatment for celiac disease.
Simon, age 72, states that he is worried because he has a bowel movement only every third day. You
respond:1.
"You should have two to three stools per day."
2."You should defecate once a day."
3."You should have at least three stools per week."
4."There is no such thing as a 'normal' pattern of defecation." - CORRECT ANSWER 4.
"There is no such thing as a 'normal' pattern of defecation."
Matt, age 26, recently returned from a camping trip and has gastroenteritis. He says that he has
been eating only canned food. Which of the following pathogens do you suspect?
1.Campylobacter jejuni.
2.Clostridium botulinum.
3.Clostridium perfringens.
4.Staphylococcus. - CORRECT ANSWER 2.
Clostridium botulinum.
Timothy, age 68, complains of an abrupt change in his defecation pattern. You evaluate him for:
1.Constipation.
2.Colorectal cancer.
3.Irritable bowel syndrome.
4.Acute appendicitis. - CORRECT ANSWER 2.
Colorectal cancer.
